Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Shattuck Nursing Center during CMS and state inspections, most recent first.
The facility failed to complete and submit resident assessments to CMS on time for nine residents. Some assessments were incomplete, lacking data and signatures, while others were submitted late, beyond the required timeframe. These issues were confirmed through record reviews and staff interviews.
The facility failed to ensure accurate assessments for two residents with insomnia, who were receiving melatonin. Their assessments incorrectly documented melatonin as a hypnotic medication, despite guidelines stating it should be considered a dietary supplement. MDS staff confirmed the misclassification during an interview.
The facility failed to ensure accurate dating of resident assessments for three residents. The DON signed assessments as completed before all sections were finalized, with data input delays acknowledged by MDS #1. The DON altered dates to reflect when data and interviews were completed.
The facility failed to update care plans for two residents, resulting in deficiencies. A resident with severe cognitive impairment had alarms documented in assessments but not in the care plan. Another resident on Seroquel lacked specific behaviors in the care plan, only listing side effects. The DON confirmed these omissions.
A facility did not follow its protocol and a resident's care plan by failing to conduct weekly wound assessments for a resident with pressure ulcers. The last documented assessment was over a month ago, despite the care plan requiring weekly monitoring. An LPN admitted to being behind on assessments and noted that while they were documented in a notebook, they were not entered into the EHR.
A resident with Huntington's disease did not receive their prescribed Austredo medication for many days due to insurance issues. The facility failed to notify the PCP, and only informed the neurologist once. This lack of communication led to the resident missing essential medication.
A resident with Huntington's disease did not receive their prescribed Austredo medication for a significant number of days over two months due to insurance coverage issues, as reported by a CMA. The medication was not available, impacting the resident's treatment.
Failure to Complete and Timely Submit Resident Assessments
Penalty
Summary
The facility failed to ensure that resident assessments were completed and submitted to CMS in a timely manner for nine out of thirteen sampled residents. Specifically, the assessments for several residents were either incomplete or submitted late. For instance, Resident #21's Annual Assessment lacked data in multiple sections and was not completed, as confirmed by MDS #1. Similarly, Resident #25's Quarterly Assessment was incomplete, missing data in several sections and lacking signatures to confirm completion. These deficiencies were identified through record reviews and interviews with facility staff. Additionally, the facility did not submit assessments within the required timeframe for several residents. Resident #13's Quarterly Assessment was signed by the DON but submitted more than 14 days late. The same issue was observed with Resident #17, Resident #23, and Resident #45, whose assessments were also submitted late, as documented in the MDS Final Validation Reports. These delays in submission were acknowledged by MDS #1 during interviews, indicating a pattern of non-compliance with the required timelines for assessment submission.
Inaccurate Resident Assessments for Insomnia Treatment
Penalty
Summary
The facility failed to ensure accurate resident assessments for two residents diagnosed with insomnia. Both residents were receiving melatonin at bedtime as documented in their Order Summary Reports. However, their quarterly assessments inaccurately documented that they were receiving a hypnotic medication. The Long-Term Care Facility Resident Assessment Instrument, dated October 2023, indicated that alternative medicine products like melatonin should be considered dietary supplements and not counted as medications. During an interview, MDS #1 confirmed that they relied on new orders, order summaries, and MARs for coding medications on the MDS and incorrectly classified melatonin as a hypnotic.
Failure to Ensure Accurate Resident Assessment Dates
Penalty
Summary
The facility failed to ensure that resident assessments were not backdated for three of the 13 sampled residents. For Resident #23, the Quarterly Assessment was dated with an Assessment Reference Date (ARD) of 08/25/24, but the Director of Nursing (DON) signed the assessment as completed on 09/08/24, while sections A-E, GG, and H-Q were completed on 10/03/24. Similarly, Resident #37's Quarterly Assessment had an ARD of 09/05/24, with the DON signing completion on 09/19/24, and sections completed on 10/22/24. For Resident #45, the Quarterly Assessment had an ARD of 08/29/24, with the DON signing completion on 09/12/24, and sections completed on 10/03/24. During an interview on 10/24/24, the DON and MDS #1 were questioned about how assessments were signed before sections were completed. MDS #1 stated that data collection and resident interviews were conducted timely, but data input was delayed. The DON admitted to changing the date on the MDS to reflect when the assessment data and interviews were completed.
Care Plan Deficiencies for Alarm Use and Psychotropic Medication
Penalty
Summary
The facility failed to update care plans for two residents, leading to deficiencies in their care management. One resident, diagnosed with senile degeneration of the brain, had a fall alert monitor device ordered and was assessed to have severely impaired cognition. Despite the use of bed and chair alarms documented in the quarterly assessment, the care plan did not reflect the use of these alarms. The Director of Nursing (DON) confirmed that the care plan did not address the alarms. Another resident, diagnosed with psychosis, was receiving Seroquel, an antipsychotic medication. The resident's quarterly assessment noted severely impaired cognition and the use of an antipsychotic. However, the care plan failed to specify the behaviors being treated with Seroquel, only listing potential side effects. The DON acknowledged the absence of specific behaviors in the care plan.
Failure to Conduct Weekly Wound Assessments
Penalty
Summary
The facility failed to adhere to its protocol and the resident's care plan by not conducting weekly wound assessments for a resident with pressure ulcers. The facility's Wound Care Protocol required that wounds be drawn and documented on the pressure ulcer chart and in the skin assessment book every Saturday. The resident's care plan, dated May 29, 2024, also specified the need for weekly assessment, recording, and monitoring of wound healing. However, the last documented weekly wound assessment was on September 11, 2024, which noted a stage three pressure ulcer on the right hip and a stage two pressure ulcer on the left hip. During an observation on October 24, 2024, an LPN admitted to being behind on the assessments and stated that while they were documented in a notebook, they were not entered into the electronic health record (EHR).
Failure to Notify Physician of Unavailable Medication
Penalty
Summary
The facility failed to notify the physician when a medication was unavailable for a resident with Huntington's disease. The resident had orders for Austredo, a VMAT2 inhibitor medication, to be administered daily in two different dosages. However, the medication was not administered for a significant number of days in September and October 2024 due to insurance coverage issues. Despite this, the neurologist was only notified once in September, and the primary care physician was not informed at all. This lack of communication resulted in the resident not receiving the prescribed medication for their condition.
Medication Unavailability for Resident with Huntington's Disease
Penalty
Summary
The facility failed to ensure the availability of a prescribed medication for a resident diagnosed with Huntington's disease. The resident had orders for Austredo, a VMAT2 inhibitor medication, to be administered in two different dosages. However, the medication was not provided for a significant number of days over two months, as documented in the CMA Medications reports for September and October 2024. The Certified Medication Aide (CMA) indicated that the pharmacy could not fill the prescription due to insurance coverage issues, resulting in the medication being unavailable for a couple of months. This deficiency affected the resident's treatment for Huntington's disease, as the medication was not administered as prescribed.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Shattuck
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Woodward Skilled Nursing And Therapy | 29 mi | ★★★★★ | 0 | 0 |
| Town Of Vici Nursing Home | 32.7 mi | ★★★★★ | 0 | 0 |
| Mesa View Senior Living | 38.4 mi | ★★★★★ | 8 | 0 |
| Booker Hospital District Dba: Twin Oaks Manor | 39.5 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.